Pituitary apoplexy physical examination: Difference between revisions
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===Eye=== | ===Eye=== | ||
* Visual field defects | * Visual acuity defects (52%) and visual field defects (64%) result from upward expansion of the tumor, which compresses the optic chiasm, optic tracts, or optic nerve. The classic visual field defect is a bitemporal superior quadrantic defect. Optic tract involvement from a prefixed chiasm is less common and results in a contralateral homonymous hemianopia. Optic nerve compression from a postfixed chiasm is rare and may mimic optic neuritis with pain on eye movement, monocular visual acuity loss, and a central scotoma on visual field testing. | ||
===Extremities=== | ===Extremities=== |
Revision as of 20:06, 24 July 2017
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]
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Physical Examination
Vitals
Skin
Eye
- Visual acuity defects (52%) and visual field defects (64%) result from upward expansion of the tumor, which compresses the optic chiasm, optic tracts, or optic nerve. The classic visual field defect is a bitemporal superior quadrantic defect. Optic tract involvement from a prefixed chiasm is less common and results in a contralateral homonymous hemianopia. Optic nerve compression from a postfixed chiasm is rare and may mimic optic neuritis with pain on eye movement, monocular visual acuity loss, and a central scotoma on visual field testing.
Extremities
- Atrophy of limbs
Neurologic
- Delayed reflexes